document.write("    <!-- Web Form Generator 2.0 -->    <center><form method=\"post\" action=\"http://www.aweber.com/scripts/addlead.pl\">    <input type=\"hidden\" name=\"meta_web_form_id\" value=\"603411\">    <input type=\"hidden\" name=\"meta_split_id\" value=\"\">    <input type=\"hidden\" name=\"unit\" value=\"zonnepanelen\">    <input type=\"hidden\" name=\"redirect\" value=\"http://www.zonnepanelenadviezen.nl/dankuzonnepanelen.html\" id=\"redirect_e1452239a41656be5caaec44d394fda7\">    <input type=\"hidden\" name=\"meta_redirect_onlist\" value=\"\">    <input type=\"hidden\" name=\"meta_adtracking\" value=\"Zonnepanelen aanbod\">    <input type=\"hidden\" name=\"meta_message\" value=\"1\">    <input type=\"hidden\" name=\"meta_required\" value=\"name,from,custom Provincie,custom Land,custom Ik ben een\">    <input type=\"hidden\" name=\"meta_forward_vars\" value=\"0\">    <table>    <tr><td colspan=2><center><DIV align=center><FONT face=Verdana><FONT color=#009900><STRONG>Ja, ik wil meer info over een evt. offerte&nbsp;Zonnepanelen en de subsidiemogelijkheden.<BR><BR>Ik laat daarom onderstaand de volgende gegevens achter:</STRONG><BR></FONT></DIV></FONT><DIV align=left><FONT face=Verdana>&nbsp;</DIV></FONT></center></td></tr><tr><td>Voornaam:</td><td><input type=\"text\" name=\"name\" value=\"\" size=\"20\"></td></tr><tr><td>Email:</td><td><input type=\"text\" name=\"from\" value=\"\" size=\"20\"></td></tr><tr><td>Provincie:</td><td><input type=\"text\" name=\"custom Provincie\" value=\"\" size=\"20\"></td></tr><tr><td>Land:</td><td><select name=\"custom Land\"><option value=\"Nederland\">Nederland</option><option value=\"Belgie\">Belgie</option></select></td></tr><tr><td>Ik ben een:</td><td><select name=\"custom Ik ben een\"><option value=\"Particulier\">Particulier</option><option value=\"Bedrijf\">Bedrijf</option></select></td></tr>        <tr><td colspan=2><center><DIV><DIV align=center>&nbsp;</DIV></DIV></center></td></tr>    <tr><td align=\"center\" colspan=\"2\"><input type=\"submit\" name=\"submit\" value=\"VERSTUUR\"></td></tr>    </table>    </form>        </center>");

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